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This phenomenon was initially described for alcoholism, but it has also been applied to pathological gambling. According to evidence from both community- and clinic-based studies, individuals who are pathological gamblers are highly likely to exhibit other psychiatric problems concurrently, including substance use disorders, mood and anxiety disorders, or personality disorders. Fifth, problem gamblers represent a chronic state of a behavioral spin process, a gambling spin, as described by the criminal spin theory.clarification needed New studies regarding this link show that norepinephrine is secreted under stress, arousal, or thrill, so pathological gamblers gamble to make up for their under-dosage. It has been observed that some pathological gamblers have lower levels of norepinephrine than normal gamblers. Evidence indicates that pathological gambling is an addiction similar to chemical addiction.
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Second, some individuals use problem gambling as an escape from the problems in their lives (an example of negative reinforcement). Several psychological mechanisms are thought to be implicated in the development and maintenance of problem gambling. These authors point out that social factors may be a far more important determinant of gambling behavior than brain chemicals, and they suggest that a social model may be more useful in understanding the issue.
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In countries such as China and Japan, the only way to gamble legally is through government-ran lotteries or casinos. Regarding youths who gamble, almost 50% of them report some form of gambling severe enough to be classified as problematic by the DSM. Additionally, many youths begin gambling before the age of 18, which correlates with the psychological etiologies of risk-taking and low self-control. In East African countries like Kenya and Uganda, more than a majority of youths surveyed reported gambling behaviors in the last 12 months.
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